New Amsterdam (2018) s04e11 Episode Script

Talkin' Bout a Revolution

1 Previously on "New Amsterdam.
" I'm glad that you're up for complicated because I'm pregnant.
Do you foresee any problems working in a public hospital system like New Amsterdam? The only problem I see having is getting any work done while staring into those amazing, blue eyes of yours.
You lied to me! I asked you if this residency was on the level, and you said yes.
I'm going to wait you out, and then I'm going to undo every bloated program, every underfunded clinic, and everything that you've built on very shaky ground.
I am going to miss this place, but we are getting ready for a brand-new chapter of our lives together in London.
JFK, terminal four.
Oh, my God! Not too bad.
Welcome home.
No! Whoa! It was an accident! Get back! Hi, baby.
Yes! Reed, about those conferences, I really need to Oh, well, you can tell whoever you're not talking to that I said hello.
Good morning, Ava.
I just wanted to hey.
Well, there's a name I didn't need to learn.
- Hello.
- Adam, you're late.
By one minute.
As of now.
- What's your point? - Great.
First up, you need to appoint the medical commissions for your inter-department outreach the general way that we And why didn't you take care of this yesterday? - Yesterday was the weekend? - Well, you know what they say.
If you don't show up on a Sunday, do not bother showing up on a Monday.
It's Oh, hey, watch this.
Hey, Mike.
Can I talk to you about something? Did you see that? Did you see that? Oh, God.
Max has been gone for six weeks, and these people still don't realize that they cannot hide from me.
Call a department head meeting.
One hour.
- That's not a lot of notice.
- No? I guess if they don't show up, then they are fired.
Oh, ho, ho! Merry Christmas.
It's January.
He's here all year.
He's an inpatient at the psych ward.
It's part of Dr.
Frome's new vocational program.
Apparently he really does think he's Santa Claus.
Kids love him.
Oh, God.
Pumpkin spice, extra cinnamon.
A basic drink for a basic boss.
I will not be coffee-shamed by you.
This drink is joy in a cup.
I don't know how you drink that stuff and still look as good as you look.
Yeah, right.
Are you kidding? The way you're wearing that jumper? Fits you like a glove.
Oh, thank you.
Yeah, it was a gift from a family member.
You should ask for a few more.
You're killing it.
Okay, then.
Oh, that's a new one.
Getting good images.
Singleton fetus, strong heartbeat.
And the placenta's in good position for transcervical CVS.
It is, but you know chorionic villus sampling is never totally risk-free.
Spinal muscular atrophy runs in my family.
I got to know.
Probably a good idea anyway, this being a geriatric pregnancy.
I am a peace-loving woman, Jan, but you say that word again and I'll smack you with the ultrasound probe.
I didn't think I was able to get pregnant.
Baptiste must be over the moon.
You know, this test Linda's taking can also confirm who the father is.
Message after the tone.
Hey, uh, Leyla, it's me.
Just checking in.
Want to hear how your VA orientation's going.
So weird not having you at the hospital.
Look, I know that you took that job to get away from me, and I want to respect your space, but please, please just let me know where you're living.
I just don't want you to be somewhere unsafe because Help! Man struck by lightning while hailing a cab now with LOC and severe burns to his left foot and left hand.
What happened? Sir, you're going to find this pretty unbelievable, but you were just struck by lightning.
You can't fire Santa.
Well, the real Santa, no, but the psychiatric liability issue wandering our hallways, yeah, I can fire him.
The patients in my vocational therapy program, who I vet thoroughly, by the way, are far less likely to be violent than anyone you would hire from a résumé and a five-minute interview.
These are safe people.
These are people that have held down jobs before.
And most importantly, Veronica, Dr.
Fuentes, they are healing.
- Mm-hmm.
- These jobs are a bridge to life after this hospital.
They need that.
Yeah, Dr.
Frome, I'm so sorry, but yeah, Christmas is over, and so is this program.
Doctor - Yeah.
- Ah, Dr.
I need you to oversee the rollout of our new quotas for invasive surgical procedures.
We've worked very hard to minimize unnecessary surgeries.
- Mm-hmm.
- Less invasive procedures like stenting, avoid unnecessary risk.
Well, they also avoid profits.
Bloom, there'll be no more sending your patients up to surgery for elective procedures.
If it's not emergent, discharge them.
Insurance companies, they want people to schedule their elective surgeries from the comfort of their own home.
When I send a patient up for surgery, it's because they need it.
When insurance companies dictate what's elective, people die, and I'm not sending patients home to call their insurance companies when many patients don't have insurance and they don't have a home.
Well, unfortunately, solving the social ills of the world is not this hospital's job, despite what your former boss might have said.
Wilder, please be advised that we are lowering suggested screening age for mammograms from 40 to 30.
Consider it done.
Well, that's the spirit.
Well done and thank you, Dr.
Everyone, I know that this budget squeeze has been very, very hard on everyone so I am so happy to share with you exactly what you've been sacrificing for.
Will you please join me in welcoming Dr.
Mia Castries, chair of holistic medicine.
Did she just say "holistic medicine"? I lost a third of my department for hand massages and crystals.
I sense a powerful energy here.
I'm just kidding.
I'm not a crazy person.
Because obviously, this is black tourmaline and to get your pineal gland ready for energy discernment, you would need amethyst or lapis lazuli.
I'm excited to be here.
And we're so excited to have you.
Castries comes to us from the university hospital where she's emerged as a leader in one of America's most rapidly-expanding medical fields.
Hello? This is creepy.
- Yeah, just a touch.
- Anyone alive in here? Oh, God! - Why? - Thank you for coming.
Okay, so you sent us that text.
You mind telling us what this is about? We have a shared enemy who's too powerful to defeat separately, so we need to work together in secret to undermine her from within and make sure our patients get the care they need and deserve starting now.
We are forming an insurrection.
Vive la résistance.
Now, who's with me? Sorry, I forgot to say it's Veronica.
The person we need to defeat is Veronica.
Yeah, we figured.
Still nothing? We literally just heard you enthusiastically agree to downgrade women's healthcare.
That is part of our strategy.
We can't defeat somebody who knows we're coming for them.
Okay, even if that's true, I'm out.
I have four kids.
I'm not going to risk my job.
I'm sorry.
Don't look at me.
I got too much going on in my personal life to squeeze in a revolution.
Yeah, and I don't know you from Adam.
What would Max do? You didn't even know Max.
My last hospital was run by somebody just like Veronica.
All they ever cared about was "Oh, how many people did you cut? How much money did you make?" Max reminded me that a hospital can be more than that.
I could be more than that.
I rearranged my entire life after knowing him for two weeks.
You knew him for years.
What did he do for you? What would Max want you to do? Right now? But Max isn't here, and he's not coming back.
Clemit, I owe you an apology.
I've been here a month, and I have yet to address your department's chronic lack of patients.
Occupational therapy has a low profile.
We do our work with quiet dignity and let our reputation speak for itself.
Or we could slap your face on the cover of magazines and tube stations.
I'm thinking a full PR offensive, community outreach, lectures, you talking up our hospital's unrivaled rehabilitation clinic to anyone who'll listen.
But that's boasting.
I should jolly well hope so.
Grey, I couldn't help but notice your pediatrics department is bursting at the seams.
The NHS allots its resources using an algorithm based on neighborhood demographics, and four doctors is all they gave us.
That's because their algorithm is from 1997.
Since then the number of minors in Hampstead has tripled.
Can't fight the algorithm, can you? And yet, I just did.
I've hired six new pediatricians.
Patient satisfaction surveys.
Ah, Liz, I've been looking forward to these.
Let's hear from the people.
In the States, this is scored on a scale up to 100.
All these single digits are giving me a turn.
In the UK, they're also scored on a scale up 100.
What? But these scores are terrible.
What are we doing wrong? Ah.
No, yes, yes.
I'm just going to write that down.
Now, I'm going to put you on a quick hold, I think.
How can I help? I need to reschedule a procedure.
- Okay.
- My name is Ruth Gleadle.
That's a lovely name.
Ah, excuse me.
This way, Gleadle, Gleadle Oi, while we're young! Ah, yes, indeed.
Yes, indeed.
While we are found it.
Found it.
Let's just take a quick look.
Shall we? Okay, I see biopsy scheduled for a growth on your pancreas.
That's right.
Well, if I may, Ruth, that's a fairly serious procedure.
Your biopsy is part of a endoscopic retrograde cholangiopancreatography that you really don't want to put off.
- Are you a doctor? - Yes.
No, technically at the moment.
The license is in the mail, but don't let that scare you.
I'm going to tell you exactly what's going to happen.
So first you're going to get a sedative.
It's going to help you feel calm and relaxed.
Then you're going to have liquid anesthetic applied to the back of your Any available porter to Grab discharge paperwork for Greg Treize.
I'm going to reset his wrist, and then he's out of here.
- You mean Lightning Guy? - Don't call him that.
Treize Where's Lightning Guy? Oh, that tingles.
What the hell? I don't know how things were done in the lost city of Atlantis, but here in this hospital where we practice real medicine, we don't just take other doctors' patients.
- Are we clear? - Yes.
Listen, I don't want to bum you out, but Atlantis was not a real place.
Get those needles out of him.
This man needs his chi rebalanced.
And I'm a Pisces.
Why don't you tell her what you told me? I'm cursed.
Okay, there is no such thing as a curse.
I was hit by lightning in January.
Climate change.
I've been bit by a shark in a river.
I got hit on the head with a golf ball while I was skiing.
One time, I was kicked by a horse while surfing.
When your energy is out of alignment, bad things happen.
The man was hit with 50,000 volts of electricity, and he survived.
That's not a curse.
That's a blessing.
Oh! We're fired.
We're really fired? Call it laid off.
- So we can claim unemployment? - No.
The vocational placement programs for inpatients don't They don't qualify.
I know I can do better.
Please just give me another chance.
Tracy, I can't.
I really wish I could.
- But what did I do wrong? - Nothing.
You did nothing wrong.
Sure she did.
We all did.
We have mental illnesses, and people don't want crazy people working for them.
Tell me that's not what this is.
- Cheek swab done.
You? - Done.
My father would not approve.
Man, if I told my mom about this, it would kill her dead.
That's good that you were close with your father, though.
If, you know, this is my kid, I'd like to be a dad like that.
My dad wasn't exactly the role model I wish he'd been.
Floyd, you're gonna be a good father.
Damn good.
Thank you.
And if this child isn't yours, no shame in stepping away.
Linda and I will be just fine.
I mean, you and I took the same test.
Have you ever thought about what your plans would be if it's mine? - My plans? - Yeah.
There's no shame in stepping away.
Oh, is that how this is? You see any other way? Okay, Greg.
No talking.
I want you to take some nice, deep breaths for me, okay? This is just to make sure there's no brain injury from the door or from any of your other hundred head injuries.
Okay, so that's not actually going to help you find what you're looking for.
Yeah? Well, call me old-fashioned, but everything I do is rooted in science.
Unlike energy work or curses, or magic rocks whose only power is in your head.
Oh, so you're saying they have a psychological impact rather than a measurable physiological effect.
That's the definition of placebo.
Belief has power when a patient believes that they're healing.
They can and that's why Greg's belief that he is cursed is a medical issue and one that you should take seriously.
Okay, Greg.
I'm looking at your CTs and you are concussion-free.
For those scoring at home, that's curse, zero, modern medicine What's that blotch? That's cancer.
Oh, brutal.
Yes, Trotsky, it's brutal.
Keen observation.
Thank you.
Max and I were very proud of this program.
Showed my patients they could have jobs, they could have independence, they could have hope.
Showed everyone else, too, and now this.
Veronica told you to stop placing patients in jobs at New Amsterdam.
But she didn't say anything about them just getting hired on their own.
What do you mean? Hire them as real baristas and janitors? They are real janitors and real baristas.
I know.
You have already proven that! And who is more likely to give them a shot than the people who have already seen how well they can do? You know who you sound like, right? Vive la résistance.
Viva, indeed.
Hey, Boss, just about to head out for a spot of tea.
It's 12:30.
That's just lunch.
- Well, what if I have tea? - Still lunch.
Tea time sounds more fun.
Uh, I would've have invited you, but I figured you were slammed.
As soon as I get my license, I can take a few things off your plate.
That sounds amazing, but right now, the patient satisfaction surveys just came out, and they didn't paint the rosiest of pictures.
Mm, yeah, I know how tough it can be to pinpoint the exact reasons for patient dissatisfaction.
- And yet.
- What? Um, out of curiosity, have you noticed any delays in your waiting area? Oh, yeah, yeah.
Crazy delays, long lines, angry patients.
I mean, there's a lot of problems with this nationalized health care thing.
You know, some of these patients have been waiting months for simple procedures.
So the thing is Roderick Cantleigh, who is a knight commander and the NHS executive who controls our funding is coming this afternoon to discuss my new initiatives.
That's great! Look at you, people taking notice.
Sir Roderick Cantleigh taking notice.
No, not Sir.
- But you said he's a knight.
- Knight commander.
- What's the difference? - It's not important.
- Okay.
- But what is important is if you could somehow expedite things in your domain, like, I don't know, answer the phone when it rings.
Just keep the line moving.
That would help me greatly today.
For you, my love, I will answer the phone when it rings.
- Thank you.
- I got you.
I gotta grab some tea.
But not teatime.
Just tea in the afternoon.
Just tell me again how this is good news.
Okay, look, I will grant you that a lightning strike, followed by a freak head injury is unlucky, but if those things hadn't have happened, we would never have found the cancer.
It just never ends.
Look, I get that cancer sounds scary, but we can take care of it with a simple surgery No.
No surgery.
But Mr.
Treize, it is a routine procedure.
Until the curse makes you drop a scalpel in me.
- That is not gonna happen.
- Yes! It will.
If it can go wrong, it will go wrong.
This is my life.
You don't understand.
You're right.
She doesn't understand.
She has no idea.
The fear that you live with? Dr.
Castries, can I just have a word You've tried everything.
You say that you'll be more careful, kinder.
You pray, and none of it works because the universe is against you.
What can I do? Get the surgery.
See, someone has to fix your cancer, and that's her job.
And someone has to fix your curse, and that's me.
And I'm going to be with you every step of your journey.
Okay, I'll do it.
So Carl, I spoke to your former boss in janitorial, and it seems the only way to keep you on is if he hires you the old-fashioned way.
What are you saying? That you're rehired.
First shift is this afternoon if you want it.
- Hell yeah, I want it! - Good! Good! Okay, big guy.
I'm going to learn to draw your face in latte foam.
Oh, this is excellent news! I got some real innovations in mind for that pasta bar.
Good, good, good.
I tried, but no department can pay for a year-round Santa.
You know people really do need Christmas spirit the whole year round.
Yeah, I really am sorry.
I'll do it for free.
Maybe we can try again after Thanksgiving.
Okay? Yeah.
Veronica just deemed the removal of my cancer patient's tumor elective.
Which means I can't send him to you for surgery, but delaying him even a couple days could kill him.
You said you wanted a revolution, right? Well, here's your chance.
Do the surgery anyway.
Defy Veronica.
- No.
- No? So your whole "what would Max do" spiel this morning, that was all just BS? Wait! If I said yes, Veronica would see the surgery on the OR schedule and shut it down, but this is a big hospital.
So many other floors, other rooms.
How's it going? So good to see you.
I just, uh, I just need to vent and for someone to listen, and since I'm not trying to put all my business on the front street in this hospital Okay.
Hey, hey, hey, say less.
I got you.
I'm here.
I'm here.
- Thank you.
- Okay.
'Cause I just found out that my genius husband went and got himself a paternity test.
I mean, what was he thinking? Now is not the time for that.
Now is a time for all of us to be focused on Well, well, uh, maybe he had certain questions.
You know? Feelings.
Look, I I I I know you talked about us being a team.
What is this, "I talked"? We talked.
You're asking me not to care about whose baby this is? That's against human nature.
I get it, Floyd.
You want to know.
I want to know.
My problem isn't human nature.
My problem is the fact that you went behind my back, and you took a test whose whole point is to tell you if my baby isn't your problem.
That's not why I took the test.
- Then why'd you take it? - Well, it's complicated! Well, you said you were in for complicated.
Oh, God okay.
- Lyn? - Oh wait.
Oh, something Something's wrong.
Yeah? Talk to me.
What's wrong? What is it? Stabbing pain.
I think I'm spotting, I think I'm spotting.
Did the CVS cause this? Did the CVS cause this? No.
We need to test that bloody discharge.
And look for ferning.
See if the cervix is still closed.
Just please just let her do her job.
I say just start magnesium.
We got any evidence of premature contractions? What evidence you waiting for? Out.
Both of you.
Lyn, everything's gonna be okay.
Yeah, we're just trying to take care of you.
- I want them both gone.
- Get out.
Get out! Yes, of course, sir, I will transfer you now.
Well, ta to you as well.
Does anybody need anything? Good afternoon.
- Oh, is it my turn? - No, no.
I just noticed that you were filling out your patient satisfaction surveys and thought I'd cut out the middleman and hear from the people directly.
You selling something? Uh, no.
I'm just, uh, the new guy and, uh, want to make some big changes.
The receptionist is making big changes.
I have the boss' ear.
So, uh, hit me.
What do you got? Your harshest critiques.
Well, it's the same old song, isn't it? Month to see your GP.
You want to see a specialist, God help you.
Yeah, it's always a new person.
Makes you feel like nobody gives a toss.
And if you want anything above and beyond, people treat you like you're selfish.
- I get it.
- No, you don't, love.
We're all in this room because we have cancer.
I'm a cancer survivor.
Two years in remission.
And my doctor was She was everything.
When I was half dead from chemo, last thing I would have wanted was to be shuffled around from one new person to the next, so you're not being selfish.
You're just asking for dignity.
You're a receptionist? Side hustle.
My main gig is fixing broken systems.
So what do you say we work on this one? Before we begin, I want to be very clear.
This is an open act of defiance against a corrupt regime.
Everyone in this room is now part of the resistance.
This might be unorthodox, but the surgery is not a risk.
I'm confident of its success.
And the only risk is to our jobs, so I need to know.
Is everyone in? All right.
Let's get started.
You know, I've been fired a few times in my life, and by few, I mean several.
I think the worst time was probably It's not the same.
Yeah, you're right.
It's hard to find the right comparison, you know? The suit, the beard.
Being Santa is not my job.
It's who I am.
It's why I am.
Without it, it's like I'm falling.
If I'm not Santa, I'm nothing at all.
I'm not buying it.
Ho, ho, ho! I'm not! I mean, yeah, Santa, that's your dream gig, but if we're talking nuts and bolts here, you are extremely employable.
- Ah, you're patronizing me.
- I'm not! Why would I patronize you? I mean, unless you're telling me that being Santa is easy It's not easy! There's a lot of hard work involved! That's what I'm saying! We're on the same page here.
I mean, the amount of work that goes into one night One night? It's not one night! Everyone always thinks it's one night, but the prep starts December 26, and it does not stop, believe you me.
I do.
I do believe you.
I can barely manage the logistics in my department.
Logistics, record-keeping, organization, overseeing all types of interesting personalities Hold on.
I got it.
- What? - Your perfect job.
Roderick Cantleigh? Hi.
Helen Sharpe.
Thank you so much for coming.
So exciting to have the NHS Regional Director for all of London visiting our humble hospital.
Unexpected visits from one's boss' boss' boss are rarely cause for excitement.
Um look, I know that my proposed reforms are ambitious, but I assure you they are useful, they are commonsensical, they're patient-focused American.
Your ideas are American.
I am aware that there are differences between the American health care system and England - Ours is better.
- But England shaped me as a doctor and as a person, and I promise you, under my leadership, Hampstead will be the essence of English health, and the community that I am proud to call home will support it wholeheartedly.
Shall we? We demand personalized oncology services! Doctors of our choosing available when we need them! And you should get out your bloody cell phones! - We want it the American way! - This is a human right! Dr.
Baptiste, your wife and the fetus are stable.
Thank you.
Would you like to come be with her? Yes.
You coming? Hey.
Matsudaira said you're doing good.
And the baby, too.
We're good.
- I'm so sorry, Lyn.
- Yeah, we both are.
Can't speak for Floyd, but for me, this ride that we're on can bring up a lot of insecurities.
Amen to that.
None of it's an excuse.
You needed us.
Both of us.
And we were off playing who's the alpha.
And who won? We don't know.
We told the lab to destroy the samples.
We got so wrapped up in that test that we didn't even ask about the test that mattered.
What did your CVS show? It came back clean.
That's good.
I want to know too who the father is.
How could I not? But if we're being real, you don't need a DNA test to know if someone's a father.
He's the guy who doesn't have to think twice about showing up.
I wanted us to be better than this.
How you feeling? You can skip the preamble.
You opened me up and you found that the cancer had spread.
- No.
- Or an aneurysm or a plague of locusts.
No, it went great.
Did I die? Am I dead right now? Mr.
Treize, I just looked at your labs.
We managed to remove all the cancer.
Margins are clear.
Medically speaking, you're cured.
- She did it.
- Who did what? Dr.
She said that she was going to break the curse, that she was going to be by my side during surgery.
And here I am.
Here I am.
And you were skeptical at first, but you got to hand it to her.
I guess I do.
Come on, let's get you to post-op.
You know, I feel a real sense of harmony.
You know, like the universe and I - Whoa! - Sorry! All right.
I'm going to take you up there myself.
I'm in the market for a second assistant because my schedule is just too complex for one person to handle it alone.
This job is demanding.
It is high-octane.
It is fast.
Do you think you are up for that, um, Chris? Absolutely.
It's only part-time.
That said, may call you in on the weekends.
It'll be like I never leave the hospital.
Now it says here that you worked for Goldman Sachs, left three years ago, haven't worked since.
Bit of a red flag.
Why the break? I needed to take some time off to see the world.
Anyway, this all sounds great to me.
Is there anything else that I should know? Um, yes, there is.
Um, I hope this isn't a dealbreaker, but I'll need December 25th off.
I was paged? Greg Treize wants to talk to you about his chi.
- Yes.
Where is he? - Post-op.
But his surgery was cancelled.
I heard it went well, actually.
So you're telling me that Veronica's new assistant - is a secret Santa? - I am.
Oh, my God.
It's too good.
It felt good, I got to be honest.
What about you, though? This place is a surgical theater, it's a revolutionary hideout.
I mean, you almost forget it's chock-full of dead bodies.
They're right there.
Well, you know, famously, they tell no tales.
That's so dark.
Oh, guys, I'm having some feelings.
This place feels like New Amsterdam again for the first time since Max walked out, and it's because of who walked in.
Nothing says I'm sorry for starting a rebellion like dosas and chutney, right? My mistake.
You can't help but rebel against the system.
It's in your blood.
Well, to be fair, you did leave a Yank in charge of a British system.
Uh, you should count yourself lucky no one threw tea.
Roderick repealed my reforms.
Every last one.
Could be worse, right? He also cut 10% of my funding.
Should have let you finish.
But good news, I got my license, so I am now a fully-certified practicing UK physician, and I am ready to rock.
Put me in, Coach.
I am ready to help this clinic in any - You're fired.
- I'm I'm what? I can't hire you, Max, and you are fired from being quite possibly the worst receptionist ever.
Today I had to face the fact that my, um, my "American fixes" are not going to work here.
They're not going to work in this system.
And that includes you.
I know that you're looking for something, and I will do anything to help you find it, but I have to figure out Hampstead on my own.
I need to make it work, like, on my own.
Why are you smiling? 'Cause I'm the terrible receptionist.
Really very bad at it.
But also because I'm in awe of you.
And everything that you are.
Well, you shouldn't be.
You should be very deeply frustrated with me because this whole transition has been way harder than I expected it to be.
And I'm so worried that you're going to hate it here and worried that you're going to think it's all a mistake, and you're going to resent me for it what with everything that you left behind I love it here.
Because I love you.
And, you know, you're here, so so I love it here.
And I don't know if I'd say worst receptionist just 'cause there's a lot of receptionists in England.
Oh, my God.
So, you know, maybe really bad, but
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